Method and device for decoupling and/or desynchronizing neural brain activity

Abstract

A device for decoupling and / or desynchronizing neural, pathologically synchronous brain activity, in which, the activities in a partial region of a brain area or a functionally associated brain area are stimulated by means of an electrode, resulting in decoupling and desynchronizing the affected neuron population from the pathological area and suppression of the symptoms in a patient. In an alternative embodiment of the device, the pathologically synchronous brain activity due to the disease is desynchronized which also leads to the symptoms being suppressed. The device has a stimulation electrode and at least one sensor which are driven by a control system in such a manner that they produce decoupling and / or desynchronization in their local environment.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS [0001] This application is a continuing application, filed under 35 U.S.C. §111(a), of International Application PCT / DE2005 / 000780, filed on Apr. 28, 2005, it being further noted that priority is based upon German Patent Application 10 2004 025 945.3, filed on May 27, 2004, the contents of which are incorporated herein by reference.BACKGROUND OF THE INVENTION [0002] The invention relates to a device for decoupling and / or desynchronizing neural brain activity. SUMMARY OF THE INVENTION [0003] Additional aspects and / or advantages of the invention will be set forth in part in the description which follows and, in part, will be apparent from the description, or may be learned by practice of the invention. [0004] A pathologically synchronous brain activity which can have its origin, for example, in the basal ganglia, can also produce synchronization in the following areas such as, for example, the motor cortex, as a driving force. This secondary syn...

AI Technical Summary

Benefits of technology

[0009] The abovementioned stimulation methods require the use of one or more depth electrodes which represents a high operative effort and a high risk of complications such as, e.g. possible brain tissue damage or brain bleeding during the implantation of the depth electrodes for the patient. However, this risk should be reduced with a view to successfully healing the patient and reducing side effects.

[0010] It is an object of the invention, therefore to create a device for decoupling and / or desynchronizing neural brain activity by means of which patients with pathologically synchronized brain activity can be treated mildly and efficiently. In this context, an adaptation to an unphysiological permanent stimulus should be prevented. Longwinded calibration processes should be prevented and the stimulation should also be successful when the main frequency component of the pathologically rhythmic activity is subject to great fluctuations. Furthermore, the device should achieve permanent decoupling and / or desynchronization, and transient stimulation-related unphysiological states should be largely avoided. The device according to the invention does not require additional demand control which, as described in section 6.3, can be optionally added, which is why it is technically easily implemented and only low demands are made on the complexity of the control electronics and thus also on the current consumption. The stimulation device according to the invention is intended to operate in a current-saving manner so that the batteries of the stimulator implanted in a patient need to be replaced operatively less frequently. Since an implantation of preferably only one electrode is necessary and since this electrode is implanted in a following and thus possibly more easily accessible brain area such as, e.g. an epicortical electrode in the area of the motor cortex, the device according to the invention represents a considerable improvement in comparison with the abovementioned methods of depth brain stimulation. This is because the brain stimulation does not require a depth electrode—particularly in a particular embodiment of the device according to the invention, so that there is no risk of intraoperative bleeding due to an injury to an artery.

Problems solved by technology

In this case, a large number of neurons form synchronous action potentials; the neurons involved are firing excessively synchronously.

The effective mechanism on which the standard depth stimulation is based has not yet been explained sufficiently.

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